| NPI | 1497780365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3308) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 196281) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-03-07 |