| NPI | 1417992538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 16906) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2972) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-09-09 |