NPI | 1154944874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 5266) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL.0016956) |
Enumeration Date | 2020-05-28 |
Last Update Date | 2023-05-04 |