NPI | 1083046171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30522) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010898A) |
222Q00000X Developmental Therapist (Licence: FL PT30522) | |
Enumeration Date | 2013-07-31 |
Last Update Date | 2016-03-03 |