| NPI | 1326705575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 5272) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25885) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2024-01-10 |