| NPI | 1972776417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0003723) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3246) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-07-28 |