| NPI | 1275966012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20828) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT38630) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2022-05-10 |