| NPI | 1356948335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: OR 6752) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IN 05011578A) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2022-03-16 |