| NPI | 1093589145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL89006) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 051410) |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2025-10-30 |