| NPI | 1154606457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046854) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19614) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2021-02-11 |