| NPI | 1548966559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: WV 004040) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: MT CP018176T) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1243811) | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-17 |