| NPI | 1588855209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17977) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |