| NPI | 1417080425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MA 7565) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CT 2491) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |