| NPI | 1508008509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030303-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17895) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2019-07-17 |