| NPI | 1972530681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1230) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 4703) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2015-06-25 |