NPI | 1528005022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01296700) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027848) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2016-08-02 |