| NPI | 1952929127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL26963) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020024674) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2024-12-17 |