| NPI | 1144941485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 7056) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02263400) |
| 225100000X Physical Therapist (Licence: CT 13791) | |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: VA 2305216855) | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2025-04-01 |