NPI | 1992718837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 35709) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 6220035-2401) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2011-02-07 |