| NPI | 1205155249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18317) |
| 225100000X Physical Therapist (Licence: NH 3548) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2016-09-28 |