| NPI | 1144606401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026645) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: AZ 11519) |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2022-08-17 |