| NPI | 1013332501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20989) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2020-05-27 |