NPI | 1598842049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P14569) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 011592) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-07-21 |