| NPI | 1033668314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22413) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2025-04-22 |