| NPI | 1699326926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24752) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19060) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2020-07-31 |