NPI | 1306841846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NJ 4OQA01074300) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2023-12-11 |