NPI | 1275004095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01945700) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043904) |
Enumeration Date | 2018-12-06 |
Last Update Date | 2020-08-20 |