| NPI | 1073082673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH CP022568T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63052) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2023-07-14 |