| NPI | 1013562693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 054086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24378) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2025-12-11 |