| NPI | 1093799629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22936) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8329) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2023-12-23 |