NPI | 1912600420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 049747) |
Enumeration Date | 2023-03-23 |
Last Update Date | 2023-03-27 |