| NPI | 1013714823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12772) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL26582) |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-28 |