| NPI | 1962771345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1078038) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: OR 01138) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2014-11-23 |