NPI | 1225600232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014565) |
Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: VA 2305213891) |
Enumeration Date | 2021-07-11 |
Last Update Date | 2024-10-07 |