NPI | 1720144504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: FL PT17075) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT17075) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2007-07-09 |