NPI | 1295010387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00541300) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 012696) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2011-10-20 |