NPI | 1043519242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: MA 18877) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NH 3520) |
Enumeration Date | 2011-03-28 |
Last Update Date | 2015-09-29 |