| NPI | 1538548797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21628) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MO 2020023533) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2020-08-27 |