NPI | 1497303515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT872580) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-09-02 |
Last Update Date | 2022-07-26 |