| NPI | 1174157416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MA 22912) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22912) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2023-04-11 |