| NPI | 1053667014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NH 3879) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 14.009467) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MA 21135) | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2019-10-31 |