| NPI | 1265751598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 001580) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 00744) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |