| NPI | 1801186184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4140) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1216580) |
| 225100000X Physical Therapist (Licence: MA 19389) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2020-02-26 |