NPI | 1205352887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT32921) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2017-08-16 |
Last Update Date | 2025-03-20 |