| NPI | 1063711984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 4008) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: GA PT010164) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2020-05-08 |