| NPI | 1912526393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 25308) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT35181) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2021-06-14 |