| NPI | 1649509076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62044) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA pt 34752) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: WA 60881416) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2020-04-02 |