NPI | 1942221684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 25359) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT25359) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2016-02-05 |