| NPI | 1427071877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2956) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16210) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-01-15 |