| NPI | 1548246531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 0789) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 5763) |
| 225100000X Physical Therapist (Licence: PA PT005694L) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2013-09-09 |