NPI | 1538535760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01511700) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NJ 40QA01511700) |
Enumeration Date | 2015-08-11 |
Last Update Date | 2015-08-11 |