| NPI | 1144881541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CO PTL.0016467) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-05-08 |