| NPI | 1740568161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NE 2364) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IA 4713) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |