| NPI | 1952668345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24004) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MD 24004) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2019-05-01 |