| NPI | 1063660439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18178) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2011-09-21 |