| NPI | 1578755245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: AR PT2658) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MS PT4172) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2010-05-19 |