| NPI | 1881084705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IN 05014407A) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2025-04-24 |