| NPI | 1427106541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 007308) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18422) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-05-03 |