NPI | 1346538576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT25857) |
Enumeration Date | 2011-07-21 |
Last Update Date | 2020-09-04 |