NPI | 1376038414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23630) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01693700) |
Enumeration Date | 2018-06-29 |
Last Update Date | 2018-06-29 |