NPI | 1346595808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 025634) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01708300) |
225100000X Physical Therapist (Licence: MD 24108) | |
Enumeration Date | 2012-07-19 |
Last Update Date | 2020-12-29 |