NPI | 1588896252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 298915) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030933) |
Enumeration Date | 2009-08-14 |
Last Update Date | 2022-07-25 |