NPI | 1649431669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 400QA008675) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002798) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2020-06-08 |