| NPI | 1407154024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039486-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17376) |
| Enumeration Date | 2011-03-06 |
| Last Update Date | 2018-12-04 |