| NPI | 1811040454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2294) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11113) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-04-09 |