NPI | 1912387481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24721) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 871568) |
225100000X Physical Therapist (Licence: NY 035479) | |
Enumeration Date | 2015-05-31 |
Last Update Date | 2015-05-31 |