NPI | 1306061676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: WA PT6103) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT6103) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2015-04-15 |