NPI | 1477071561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01739900) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211139) |
225100000X Physical Therapist (Licence: PA PT026081) | |
Enumeration Date | 2017-09-08 |
Last Update Date | 2022-07-21 |