| NPI | 1912438995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: OR 06803) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT246165) |
| 225100000X Physical Therapist (Licence: CA PT 8818) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |