| NPI | 1013372192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3817) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20767) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2018-02-19 |