| NPI | 1013289420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2998) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 13142) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2015-10-09 |