| NPI | 1225599467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044079) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 26132) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2023-01-20 |