| NPI | 1750835989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27185) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22585) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2018-10-26 |