| NPI | 1528315132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 10772) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 26850) |
| 225100000X Physical Therapist (Licence: CA 37094) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2024-05-16 |