| NPI | 1598914939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19061) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008400) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2022-10-20 |