| NPI | 1083139331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT025990) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2020-01-10 |