NPI | 1922543255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33401) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01711100) |
Enumeration Date | 2016-12-22 |
Last Update Date | 2019-11-05 |