| NPI | 1609229350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20271) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1277100) |
| 225100000X Physical Therapist (Licence: NY 035462) | |
| 225100000X Physical Therapist (Licence: FL PT31264) | |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |