NPI | 1760529077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00621200) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT015213) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-07-08 |