| NPI | 1659816577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4176) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 40.0120515) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |