| NPI | 1831749753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 25239) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 12449) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2023-06-16 |