| NPI | 1538807029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 304720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 048356) |
| 225100000X Physical Therapist (Licence: MA 26127) | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-12-24 |