| NPI | 1316335193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3754) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20371) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NH 3754) | |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2019-07-22 |