| NPI | 1174964688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3760) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20364) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2024-04-14 |