| NPI | 1740648526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19441) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT38698) |
| 225100000X Physical Therapist (Licence: IN 05014800A) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2022-09-07 |