| NPI | 1659707487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT020930) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2023-11-13 |