| NPI | 1164726816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19376) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294183) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2018-07-02 |