NPI | 1124273172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 015107) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40 QAO7311) |
Enumeration Date | 2008-11-18 |
Last Update Date | 2008-11-18 |