| NPI | 1184446064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 27001) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0134832) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |