NPI | 1043429632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WI 2661-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 2661-024) |
225100000X Physical Therapist (Licence: MN 1015) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2012-09-20 |