NPI | 1003464637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NC P22684) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028009) |
Enumeration Date | 2019-08-27 |
Last Update Date | 2024-09-12 |