| NPI | 1659502557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18037) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: FL PT34189) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2020-05-08 |