| NPI | 1124337415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: HI PT-3282) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT-34481) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |