NPI | 1982184636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 297807) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043472) |
Enumeration Date | 2018-08-21 |
Last Update Date | 2020-06-08 |