NPI | 1982939021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0111025) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01332800) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2015-12-22 |