| NPI | 1093911968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0003702) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 12405) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2010-08-23 |