| NPI | 1215282769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20071) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT32269) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2022-07-21 |