NPI | 1851745822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36549) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 36549) |
Enumeration Date | 2016-04-15 |
Last Update Date | 2016-04-15 |