| NPI | 1679940423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: MD 20856) |
| Additional Taxonomies | 2251C2600X Physical Therapist Cardiopulmonary (Licence: MD 20856) |
| 2251N0400X Physical Therapist Neurology (Licence: MD 20856) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: MD 20856) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |