| NPI | 1861524589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 12072) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 1345) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2015-10-08 |