NPI | 1679712459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 27772) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5184) |
Enumeration Date | 2009-02-18 |
Last Update Date | 2009-02-18 |