| NPI | 1174732580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040-0003571) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-03-11 |