| NPI | 1952682700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: TN PT9495) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT21414) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2013-05-07 |