| NPI | 1669184370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26727) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030908) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2024-04-17 |