| NPI | 1154866416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24573) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26244) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2019-09-16 |