| NPI | 1730307398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60261209) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ PT40QA01191100) |
| 2251G0304X Physical Therapist Geriatrics (Licence: WA PT60261209) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2022-07-11 |