| NPI | 1861129066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26445) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 5154) |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2022-09-27 |