| NPI | 1952617730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8272) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0066216) |
| 225100000X Physical Therapist (Licence: MA 18116) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |