| NPI | 1285002253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NC P15694) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2024-04-23 |