NPI | 1437735305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305214222) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214222) |
Enumeration Date | 2021-03-22 |
Last Update Date | 2023-04-21 |