NPI | 1174833313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 39751) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 031330-1) |
Enumeration Date | 2010-10-20 |
Last Update Date | 2016-11-21 |