NPI | 1093317455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36210) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305213885) |
Enumeration Date | 2020-11-11 |
Last Update Date | 2023-07-20 |