| NPI | 1265818124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CT 009832) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: RI PT02629) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2021-05-17 |