| NPI | 1922088145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: IA 00734) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 00734) |
| 225100000X Physical Therapist (Licence: MN 8612) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2011-05-23 |