| NPI | 1376799684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: GA PT008398) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT11535) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2022-12-19 |