| NPI | 1447855044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 25520) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 12927) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2021-08-20 |