| NPI | 1497801351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0736) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2670) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-07-15 |