NPI | 1205314994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01899800) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027120) |
Enumeration Date | 2018-08-03 |
Last Update Date | 2019-11-13 |