NPI | 1053703025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 42095) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42095) |
Enumeration Date | 2015-02-26 |
Last Update Date | 2015-02-26 |