| NPI | 1841609658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NY 031738) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MI 5501016816) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |