| NPI | 1487852703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3785) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH 0843) |
| Enumeration Date | 2007-07-08 |
| Last Update Date | 2019-08-26 |