NPI | 1083159123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007004) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 16786) |
Enumeration Date | 2016-12-28 |
Last Update Date | 2019-07-12 |