| NPI | 1235501230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3447) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21996) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2020-12-31 |