NPI | 1063564854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 14819) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT28737) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2022-02-09 |