NPI | 1154065522 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 13917) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02084400) |
Enumeration Date | 2022-04-22 |
Last Update Date | 2023-05-24 |