| NPI | 1144639485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019200) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT019200) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2015-12-03 |