| NPI | 1942265251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2232) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11964) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2016-03-29 |