| NPI | 1154835361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24621) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293739) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2020-03-03 |