| NPI | 1598923518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1757) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11556) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2017-04-19 |