NPI | 1669856746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292261) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21745) |
2251G0304X Physical Therapist, Geriatrics (Licence: CA 292261) | |
Enumeration Date | 2015-07-17 |
Last Update Date | 2019-08-08 |