NPI | 1043219264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 003516) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
Enumeration Date | 2005-07-19 |
Last Update Date | 2018-10-23 |