| NPI | 1689637720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20326) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204381) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2018-11-30 |