NPI | 1043813744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 29446) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT23576) |
Enumeration Date | 2020-11-17 |
Last Update Date | 2020-11-17 |