| NPI | 1750424586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 9345) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2009-03-27 |