| NPI | 1548445745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 006528) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15050) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |