| NPI | 1427648864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 25121) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4710) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2024-12-17 |