NPI | 1033166236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT 25676) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 25676) |
2251G0304X Physical Therapist, Geriatrics (Licence: CA PT 25676) | |
Enumeration Date | 2006-05-31 |
Last Update Date | 2025-09-11 |