| NPI | 1245719269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24717) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3787) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-09-14 |