| NPI | 1275841082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19270) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209235) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2019-07-25 |