NPI | 1558699603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5691) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 5691) |
Enumeration Date | 2009-12-01 |
Last Update Date | 2019-05-07 |