NPI | 1063046290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 298177) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 298177) |
Enumeration Date | 2020-02-26 |
Last Update Date | 2021-10-06 |