| NPI | 1396025623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009166) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030761) |
| 225100000X Physical Therapist (Licence: MA 18147) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |