| NPI | 1659714715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22283) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24387) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2018-07-18 |