NPI | 1942723481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT027804) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P17087) |
Enumeration Date | 2017-07-17 |
Last Update Date | 2021-09-22 |