NPI | 1124528823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 20908) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2018-02-19 |
Last Update Date | 2018-02-19 |