NPI | 1053832733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01256000) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035014) |
Enumeration Date | 2017-07-03 |
Last Update Date | 2017-07-14 |