| NPI | 1841774098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4395) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23896) |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2022-10-02 |