| NPI | 1801214119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044203) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20701) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2022-07-19 |