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 |