| NPI | 1225196900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2409) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18951) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2010-03-22 |