| NPI | 1356773931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 5175) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022894) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2023-07-13 |