| NPI | 1720552540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 4732) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 806) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |