| NPI | 1710148374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20478) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62P64553) |
| 225100000X Physical Therapist (Licence: IN 05010449A) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2021-04-27 |