NPI | 1326354085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NC 8965) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: WA PT 00009970) |
Enumeration Date | 2010-08-19 |
Last Update Date | 2018-10-16 |