| NPI | 1871045013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007009) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23655) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2020-02-10 |