| NPI | 1215266168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3963) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205182) |
| 225100000X Physical Therapist (Licence: MA 20523) | |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2015-10-12 |