| NPI | 1457510703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3299) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17132) |
| 225100000X Physical Therapist (Licence: WA PT00009272) | |
| 225100000X Physical Therapist (Licence: NY 023133) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |