| NPI | 1154363422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT12093) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: WI 10584) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-04-09 |