NPI | 1073195509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KY PT-005935) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: HI 771) |
Enumeration Date | 2021-04-23 |
Last Update Date | 2025-06-24 |