| NPI | 1942641998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21034) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24471) |
| Enumeration Date | 2013-07-07 |
| Last Update Date | 2014-04-09 |