NPI | 1558732651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2015016087) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: KS 11-04861) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-14 |