| NPI | 1033457866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20262) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-04-18 |