| NPI | 1093963019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15164) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 33251) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2025-01-07 |