| NPI | 1558583773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: GA PT009825) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT 23360) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-08-01 |