| NPI | 1871894527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3568) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0070090) |
| 225100000X Physical Therapist (Licence: MA 18989) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2023-03-16 |