| NPI | 1669880969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1770) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: SD 1770) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |