NPI | 1336175694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QAO0758000) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018335) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2020-06-09 |