| NPI | 1215239579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 45099) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |