| NPI | 1457728941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 294288) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1253783) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2020-06-08 |