| NPI | 1578673000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 15652) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032692-1) |
| 225100000X Physical Therapist (Licence: CT 006890) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-12-17 |