| NPI | 1518418540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014319) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |