| NPI | 1710105556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2321) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11317) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2018-08-07 |