NPI | 1902875388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305006706) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0126000619) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2014-06-08 |