| NPI | 1427326925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MO 112062) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IL 070012762) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |