NPI | 1003152265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40Qa01599200) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035781) |
Enumeration Date | 2012-12-17 |
Last Update Date | 2020-03-05 |