| NPI | 1134556590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT28524) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: SC 7173) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2021-09-01 |