| NPI | 1275905523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 0736) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 5209) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |