| NPI | 1043813744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 29446) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT23576) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |