| NPI | 1578973434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 374) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20282) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |