NPI | 1184837460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 8799) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA01224900) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2018-06-04 |