NPI | 1295523140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CPO25249T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02200500) |
Enumeration Date | 2025-04-29 |
Last Update Date | 2025-06-05 |