| NPI | 1154420297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3413) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17687) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-05-19 |