| NPI | 1083900740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 8982) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3126) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2015-10-06 |