| NPI | 1265628523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: OR 2108) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: WA 6194) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |