| NPI | 1922412105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IA 004950) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IL 070-017812) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-11-02 |