| NPI | 1962612879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3191) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11560) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-02-20 |