| NPI | 1386944486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2790) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15933) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |