| NPI | 1154656643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21766) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 025578) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2017-02-02 |