| NPI | 1114209160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20036) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38111) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2013-04-23 |