| NPI | 1861701096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3346) |
| 225100000X Physical Therapist (Licence: VT 040-0003798) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2013-01-14 |