NPI | 1083634588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT 9593) |
Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: CA EK 24) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2016-01-11 |