| NPI | 1073295705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26960) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 5044) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-11-08 |