| NPI | 1033248406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12673) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CO 3415) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2021-08-19 |