| NPI | 1164700167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH CP0078221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13084) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2021-10-12 |