NPI | 1497395057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872564) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: DC PT872564) |
Enumeration Date | 2020-01-13 |
Last Update Date | 2020-01-13 |