NPI | 1366737140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P14965) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NE 2969) |
225100000X Physical Therapist (Licence: NC P14965) | |
Enumeration Date | 2011-06-09 |
Last Update Date | 2014-09-08 |