| NPI | 1699498204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2062236) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |