| NPI | 1699196501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26318) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036973) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2023-11-22 |