| NPI | 1629239595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3334) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2013-12-04 |