| NPI | 1124579065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4132) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24296) |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2020-12-16 |