| NPI | 1902451651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5576) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT5419) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2023-02-14 |