| NPI | 1386016004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1060) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 4389) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |