| NPI | 1649656141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21834) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 21834) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2024-11-07 |