NPI | 1598794703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT29984) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT29984) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2007-07-24 |