NPI | 1669414546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA RPT345) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA RPT 345) |
2251P0200X Physical Therapist, Pediatrics (Licence: CA RPT 345) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2007-07-08 |