NPI | 1306145115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MI 5501302887) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.017461) |
Enumeration Date | 2011-03-18 |
Last Update Date | 2023-09-18 |