| NPI | 1861893349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4128) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 023442) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2022-07-14 |