| NPI | 1689980427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3476) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 243365) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2012-11-08 |