NPI | 1669628574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT22555) |
Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: HI 2910) |
Enumeration Date | 2008-08-12 |
Last Update Date | 2021-05-26 |