| NPI | 1487025565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23436) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 10397) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2018-11-01 |