| NPI | 1811230253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: WI 11925-24) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IL 070.018708) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |