| NPI | 1902959885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 4419) |
| Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary (Licence: MA 4419) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-08-16 |