| NPI | 1740935782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042060) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24917) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |