| NPI | 1013908235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1657) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 9285) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2007-07-08 |