NPI | 1699317420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: DC PT872550) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: VA 2305210014) |
Enumeration Date | 2019-10-14 |
Last Update Date | 2019-10-14 |