| NPI | 1275738932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT23489) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MO 2008026063) |
| 225100000X Physical Therapist (Licence: WA PT00010379) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-11-29 |