| NPI | 1437358140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PT5381) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT PT1807) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |