| NPI | 1972903292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT31390) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 3864) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2020-12-19 |