| NPI | 1437272770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251C2600X (Licence: MA 3136) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 3136) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: MA 3136) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2025-09-11 |