| NPI | 1659310845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: IA 03565) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: IA 03565) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |