| NPI | 1457801722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1276906) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IL 070017687) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: MI 5501012687) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2020-01-20 |