| NPI | 1497737761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 11882) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT25451) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2011-02-07 |