| NPI | 1265604698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2663) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 005242) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |