| NPI | 1083048649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VT 040.0094757) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: VT 040.0094757) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |