NPI | 1942789383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MS PT-7078) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH8993) |
Enumeration Date | 2018-08-07 |
Last Update Date | 2021-05-18 |