| NPI | 1730386244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT 289) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: ID PT 289) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2018-03-06 |