| NPI | 1750749867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 010562) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22008) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |