| NPI | 1801349295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 045715) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22439) |
| 225100000X Physical Therapist (Licence: CT 12590) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2021-09-30 |