NPI | 1740384254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT35202) |
Additional Taxonomies | 174400000X Specialist (Licence: AR PT1942) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2022-03-08 |