| NPI | 1275719619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH NH2375) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 109981) |
| 225100000X Physical Therapist (Licence: PA PT009909-L) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |