| NPI | 1508071556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CO 9085) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 039291) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2010-07-27 |