| NPI | 1649692526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20830) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2019-12-10 |