| NPI | 1386974996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0003766) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 7237) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |