NPI | 1134443757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 29928) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-8164) |
2251N0400X Physical Therapist, Neurology (Licence: CA 29928) | |
Enumeration Date | 2010-03-25 |
Last Update Date | 2024-01-25 |