| NPI | 1598922965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 27991) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026079) |
| 225100000X Physical Therapist (Licence: MA 16134) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-12-20 |