NPI | 1528734217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02019600) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010667) |
225100000X Physical Therapist (Licence: NY 039365-1) | |
Enumeration Date | 2021-08-21 |
Last Update Date | 2021-08-21 |