| NPI | 1831341767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT001198E) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 15493) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |