| NPI | 1255566717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NH 3710) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18610) |
| 225100000X Physical Therapist (Licence: NH 3710) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2022-09-06 |