| NPI | 1255814588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL26831) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012755A) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2023-08-01 |