| NPI | 1326099631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 8797) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-08-14 |