| NPI | 1952613564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 9105) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 008027-1) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2012-01-19 |