NPI | 1043752165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: OH 18076) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12684) |
Enumeration Date | 2016-11-07 |
Last Update Date | 2020-01-03 |