| NPI | 1982023867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20575) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41190) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-11-19 |