| NPI | 1013427533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26763) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038711-1) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2023-06-30 |