NPI | 1992384523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02081900) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28379) |
Enumeration Date | 2021-04-02 |
Last Update Date | 2022-05-06 |