| NPI | 1578270815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26805) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT39411) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2023-05-18 |