NPI | 1679619720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 2038) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 2038) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-09-05 |