NPI | 1053657320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21202) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00366100) |
Enumeration Date | 2012-12-14 |
Last Update Date | 2023-01-03 |