| NPI | 1023132131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: LA 08363R) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: LA 08363R) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-09-12 |