| NPI | 1689008096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22615) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 9905) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2020-08-27 |