NPI | 1790272854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01775300) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA01775300) |
Enumeration Date | 2018-04-15 |
Last Update Date | 2018-04-15 |