NPI | 1780100859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01751200) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 40QA01751200) |
Enumeration Date | 2017-08-20 |
Last Update Date | 2017-08-20 |