NPI | 1346899192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 044261-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044261-1) |
Enumeration Date | 2019-09-04 |
Last Update Date | 2019-09-04 |