| NPI | 1578601217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1583) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 8624) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |