| NPI | 1700855293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 13032) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0263011) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2017-03-09 |