| NPI | 1467769364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-003139) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: AZ 3139) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2023-04-03 |