| NPI | 1578615902 |
|---|---|
| Former Name | ELIZABETH TAIBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 29942) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206702) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2014-09-23 |