| NPI | 1093486797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 25624) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 14799) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2025-10-20 |