| NPI | 1033629639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014490) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23275) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2020-02-28 |