| NPI | 1043789720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22135) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035896) |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2018-11-25 |