| NPI | 1902389570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4282) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0133775) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |