| NPI | 1326230541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2748) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16066) |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2007-08-12 |