NPI | 1588030712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: DE J1-0014534) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039033) |
Enumeration Date | 2015-08-11 |
Last Update Date | 2022-09-19 |