| NPI | 1013311570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21043) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32614) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-14 |