NPI | 1912196262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 35005) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT34110) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2021-01-13 |