NPI | 1225220759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1279) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: ND 1279) |
Enumeration Date | 2007-08-17 |
Last Update Date | 2022-01-10 |