| NPI | 1710339676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4865) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22340) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2022-12-14 |