| NPI | 1215579925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT026982) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026982) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2024-03-18 |