| NPI | 1316115645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21081) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029328) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2018-11-30 |