NPI | 1790938629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT34311) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: ID 2447) |
225100000X Physical Therapist (Licence: MA 21165) | |
Enumeration Date | 2008-10-23 |
Last Update Date | 2016-12-01 |