| NPI | 1407955560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 38372) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01201900) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-01-11 |