| NPI | 1417292319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 13334) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |