| NPI | 1912510116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 25138) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37533) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2024-11-26 |