| NPI | 1831436385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22253) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 39668) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2020-01-16 |