NPI | 1255793592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01656900) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036171) |
Enumeration Date | 2016-03-25 |
Last Update Date | 2016-03-25 |