| NPI | 1851627020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist Geriatrics (Licence: CO 1705) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: CA 1705) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |