| NPI | 1295251346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4283) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23206) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-28 |