| NPI | 1487134102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 5104) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23842) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-02-24 |