| NPI | 1619302395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: NH CP026142T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0012186) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2024-09-10 |