| NPI | 1588895031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 02212) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MO 02212) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2020-05-15 |