NPI | 1376062430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 09570R) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: LA 09570R) |
Enumeration Date | 2017-09-10 |
Last Update Date | 2017-09-10 |