NPI | 1588230205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NJ 40QA00298600) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NJ 40QA002986) |
Enumeration Date | 2021-06-02 |
Last Update Date | 2022-02-08 |