| NPI | 1801375688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047968) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24314) |
| Enumeration Date | 2018-08-12 |
| Last Update Date | 2022-06-13 |