| NPI | 1194882381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009015) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16586) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-04-21 |