NPI | 1225461858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 40412) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 40412) |
Enumeration Date | 2013-08-19 |
Last Update Date | 2022-02-11 |