| NPI | 1043251010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP029334T) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NC P10998) |
| 225100000X Physical Therapist (Licence: NY 0254571) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2024-03-12 |