| NPI | 1710359831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3665) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19744) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |