| NPI | 1629154323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1727) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16017) |
| 225100000X Physical Therapist (Licence: VT 040-0003609) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |