| NPI | 1588986780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MA 18295) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023217) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2023-05-26 |