| NPI | 1083150122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23560) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10995) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2018-05-31 |