| NPI | 1396940318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1467) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11734) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2015-10-16 |