| NPI | 1437519006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: VA 2305006398) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305006398) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |