| NPI | 1518092337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400003713) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CT 007986) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2016-05-02 |