| NPI | 1639289895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT 21539) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MA 15124) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-02-27 |