| NPI | 1104027283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1314) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 4394) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2015-07-29 |