| NPI | 1083889711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 27413) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 4332) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NV 4332) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: CA 27413) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2023-07-06 |