NPI | 1609323989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01708600C) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0407751) |
Enumeration Date | 2016-09-05 |
Last Update Date | 2024-07-03 |