NPI | 1487825030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NM 235) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NM 235) |
Enumeration Date | 2008-03-21 |
Last Update Date | 2008-03-21 |