NPI | 1821314279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 29646) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: CA 29646) |
Enumeration Date | 2010-04-09 |
Last Update Date | 2010-04-09 |