NPI | 1255833786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA0178400) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ID PT-5454) |
Enumeration Date | 2018-02-28 |
Last Update Date | 2023-08-16 |