| NPI | 1447584099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5021) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: SC 5021) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |