| NPI | 1669868287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 010165) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21117) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |