| NPI | 1164527909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT18486) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT18486) |
| 2251N0400X Physical Therapist, Neurology (Licence: FL PT18486) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-13 |