| NPI | 1831131465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 007291) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16550) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-06-01 |