| NPI | 1053548503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3841) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008538) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2014-09-04 |