| NPI | 1477879997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT20924) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 10726) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2011-10-22 |