| NPI | 1952700312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 010431) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21323) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2019-01-07 |