NPI | 1659747335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NM 4686) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NM 4686) |
Enumeration Date | 2015-08-17 |
Last Update Date | 2021-03-16 |