| NPI | 1598963365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3293) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17963) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2010-10-25 |