NPI | 1972995553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 040204-1) |
Additional Taxonomies | 225100000X Physical Therapist |
225100000X Physical Therapist (Licence: NY 040204) | |
Enumeration Date | 2015-02-19 |
Last Update Date | 2019-06-14 |