NPI | 1922438407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 5428) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015649) |
225100000X Physical Therapist (Licence: NY 0276671) | |
Enumeration Date | 2013-11-19 |
Last Update Date | 2019-03-22 |