| NPI | 1427416205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4061) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22147) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2017-02-16 |