NPI | 1932314721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT016184) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA10124600) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2016-06-06 |