NPI | 1346918810 |
---|---|
Former Name | ALLISON WEBBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: VA 2305212966) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: VA L-315580) |
Enumeration Date | 2021-08-31 |
Last Update Date | 2024-06-26 |