| NPI | 1073848040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CO 4512) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1196679) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2019-01-17 |