| NPI | 1114229127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 16126) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 4756) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-24 |