| NPI | 1467659870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 11714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT016222) |
| 225100000X Physical Therapist (Licence: NH 3840) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-30 |