| NPI | 1801050752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3054) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17309) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2015-09-29 |