| NPI | 1578742417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 17929) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 019316-1) |
| Enumeration Date | 2007-10-28 |
| Last Update Date | 2007-10-28 |