NPI | 1457772071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01575700) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 037268) |
Enumeration Date | 2013-12-27 |
Last Update Date | 2019-09-27 |