| NPI | 1194260596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2035) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 10952) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |