| NPI | 1780319517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 11908) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23960) |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2022-07-17 |