| NPI | 1750486064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3273) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17593) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2010-06-17 |