| NPI | 1922333699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008644) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19111) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2019-09-16 |