| NPI | 1619225893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NE 1868) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IA 03013) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |