| NPI | 1265106249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 5121) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25727) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2023-09-05 |