| NPI | 1730381534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 192) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18898) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-04-09 |