| NPI | 1780926469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1541) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 5324) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2019-02-01 |