| NPI | 1336356625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MA 5168) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NH 0811) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |