| NPI | 1336496363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MS 3448) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MS 3448) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MS 3448) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |