| NPI | 1952944019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4591) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24465) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2021-11-09 |