| NPI | 1376708370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18276) |
| 225100000X Physical Therapist (Licence: CA 29020) | |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2008-07-20 |