| NPI | 1104289826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NY 036157) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NJ 40QA01304800) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT017704) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |