| NPI | 1467629584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 2950) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: WI 2950-024) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2025-09-12 |