NPI | 1376923664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: NJ 40A02018200) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038851-1) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2023-06-29 |