NPI | 1639774193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01947300) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01947300) |
Enumeration Date | 2020-12-02 |
Last Update Date | 2024-08-07 |