| NPI | 1588144356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1065811) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1065811) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |