| NPI | 1912997271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 5487) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007615) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2014-06-05 |