| NPI | 1174299432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047467) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25662) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2023-08-17 |