| NPI | 1528533262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0134711) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 5283) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2024-02-27 |