| NPI | 1649407461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT2739) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 15817) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: MD 15817) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2022-12-07 |