| NPI | 1548555295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24697) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT000563E) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2022-01-28 |