| NPI | 1194570200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 014146) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL27205) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |