NPI | 1285125252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01789100) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 40QA01789100) |
Enumeration Date | 2018-05-24 |
Last Update Date | 2021-05-27 |