NPI | 1437220746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MD 25239) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: WV 002891) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2015-02-04 |