NPI | 1720308778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: IN 05005306A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05005306A) |
Enumeration Date | 2010-06-01 |
Last Update Date | 2012-10-24 |