NPI | 1114259785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: AZ 13342) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8930) |
Enumeration Date | 2010-02-08 |
Last Update Date | 2017-10-24 |