NPI | 1801950472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1072478) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1072478) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2008-12-10 |