| NPI | 1396318655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048336) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24222) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-12-27 |