| NPI | 1831317239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 8172) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CT 005819) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NY 0080621) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |