NPI | 1023658440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 297588) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2020-01-14 |
Last Update Date | 2020-09-29 |