| NPI | 1134548027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 022271) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037146) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2017-12-07 |