| NPI | 1588949184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 26812) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: FL 26812) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2023-03-27 |