| NPI | 1730589862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22880) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037819-1) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2022-07-14 |