| NPI | 1043764434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24044) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040367) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2024-05-02 |