| NPI | 1861634206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH NH1142) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 0400003311) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |