| NPI | 1992243489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23399) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8494) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2021-04-19 |