| NPI | 1811148778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22353) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT34940) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2016-08-24 |