NPI | 1386899565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT870401) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 21003) |
Enumeration Date | 2008-12-01 |
Last Update Date | 2008-12-01 |