| NPI | 1770952020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 9324) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: MT 9324) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2022-07-20 |