NPI | 1891996757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10996) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MN 5074) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2021-06-16 |