| NPI | 1144946328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL28131) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 13077) |
| 225100000X Physical Therapist (Licence: UT 14268944-2401) | |
| 225100000X Physical Therapist (Licence: CO PTL.0021111) | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2026-06-17 |