| NPI | 1255655478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 23204) |
| 225100000X Physical Therapist (Licence: IN 05006110A) | |
| 2251G0304X Physical Therapist Geriatrics (Licence: KY 002510) | |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2022-06-21 |