NPI | 1508407412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 297174) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: CA 297174) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2022-04-19 |