| NPI | 1063574341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: TX 1138071) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1138071) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-02-25 |