| NPI | 1821734427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: HI 5919) |
| Enumeration Date | 2022-05-07 |
| Last Update Date | 2024-10-29 |