NPI | 1447543046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NH 3773) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
2251P0200X Physical Therapist, Pediatrics (Licence: MA 19564) | |
Enumeration Date | 2011-05-16 |
Last Update Date | 2019-05-14 |