| NPI | 1386833499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: 6738) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02126) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2013-04-23 |