| NPI | 1194346908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24260) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 43383) |
| 225100000X Physical Therapist (Licence: NY 045758) | |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |