NPI | 1073812129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT33159) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 33159) |
Enumeration Date | 2011-03-15 |
Last Update Date | 2018-09-06 |