| NPI | 1376024000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1140143) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1140143) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |