NPI | 1962028761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044765) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044765-01) |
Enumeration Date | 2020-06-18 |
Last Update Date | 2023-10-02 |