NPI | 1689008765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01504100) |
Enumeration Date | 2013-08-26 |
Last Update Date | 2018-02-13 |