| NPI | 1730869579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: MT 519) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 519) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |