| NPI | 1932524121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4638) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20960) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2020-09-29 |