| NPI | 1730484338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19982) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 009020) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2013-03-05 |