| NPI | 1831293976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008326) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17689) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2023-02-10 |