| NPI | 1144915448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL88599) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29436) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2026-07-01 |