| NPI | 1245419357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: MA 17945) |
| Additional Taxonomies | 2251H1300X Physical Therapist Human Factors |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |