| NPI | 1013690635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26999) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P24794) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2026-04-10 |