NPI | 1689671208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MD 17515) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: DE J10001859) |
Enumeration Date | 2005-06-29 |
Last Update Date | 2007-07-08 |