| NPI | 1770920654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3969) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 003335) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2020-01-10 |