| NPI | 1356696637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3726) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL20806) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-12-21 |