NPI | 1003157892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 292107) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24402) |
Enumeration Date | 2013-03-05 |
Last Update Date | 2020-04-01 |