| NPI | 1063508893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH PT2827) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2827) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-04-26 |