NPI | 1194178921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT871943) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305210049) |
Enumeration Date | 2016-07-17 |
Last Update Date | 2016-07-17 |