NPI | 1972682755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16817) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9599) |
225100000X Physical Therapist (Licence: NJ 40QA01192) | |
Enumeration Date | 2006-11-03 |
Last Update Date | 2020-02-25 |