NPI | 1376161638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2021006417) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.025209) |
Enumeration Date | 2020-07-13 |
Last Update Date | 2023-06-27 |