| NPI | 1730846700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 5182) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25880) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2023-11-09 |