| NPI | 1467543736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NC P11475) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 5333) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1204133) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-03-23 |