| NPI | 1861481319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2880) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16672) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-12-20 |