| NPI | 1124807128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 27934) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1382770) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-09-04 |