| NPI | 1043041320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216694) |
| 225100000X Physical Therapist (Licence: MA PTL28158) | |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-07-30 |