NPI | 1902284912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT297188) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 10766) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2023-01-04 |