| NPI | 1952725491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19447) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3601) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2019-10-04 |