NPI | 1760798409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010839) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: IL 070017994) |
Enumeration Date | 2010-08-18 |
Last Update Date | 2016-07-11 |