| NPI | 1326552209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: PA PT018604) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018604) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |