| NPI | 1710262852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT020320) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NY 029125) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |