| NPI | 1871043638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24202) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 011075) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2020-10-12 |