| NPI | 1770928293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2586) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11878) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2017-01-18 |