NPI | 1073726642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 7659) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7659) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2010-04-19 |