NPI | 1972730307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 017467-1) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NY 017467-1) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2023-12-08 |