| NPI | 1013738483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL28189) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2025-02-12 |