NPI | 1184976987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23566) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01463900) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2018-07-30 |