NPI | 1154371516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 4397) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 4397) |
225100000X Physical Therapist (Licence: NC 4397) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2019-04-13 |