| NPI | 1417366113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 9826) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3873) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |