| NPI | 1508325481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0121914) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2021-09-30 |