| NPI | 1659820496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 040498) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22662) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2018-11-29 |