| NPI | 1043521396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19068) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-09-19 |