| NPI | 1427591338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 041162) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23984) |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2025-03-07 |