NPI | 1669906780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01787400) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1239581) |
Enumeration Date | 2017-04-14 |
Last Update Date | 2021-01-19 |