NPI | 1225263668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT7463) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: GA 7463) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2016-07-20 |