NPI | 1518666783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 303889) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 25155) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2023-05-22 |