| NPI | 1477677938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22639) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5289) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-09-19 |