NPI | 1033253604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00667300) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT006405L) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2010-03-29 |