| NPI | 1952532400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33887) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |