| NPI | 1538124029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 01498) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IA 01498) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-08-25 |