NPI | 1316081466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AK PT1251) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 21708) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2007-07-08 |