NPI | 1679071096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291889) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0015232) |
Enumeration Date | 2018-01-31 |
Last Update Date | 2019-05-08 |