| NPI | 1700287208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT01003) |
| 225100000X Physical Therapist (Licence: CT 11572) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2019-04-23 |