| NPI | 1831396878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CT 006574) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MA 19781) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-08-20 |