| NPI | 1659682821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 0209NH) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 4899MA) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |