| NPI | 1538601844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4371) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: VA 2305209116) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2021-07-27 |