| NPI | 1154895910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL27708) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070028020) |
| 225100000X Physical Therapist (Licence: MN 13351) | |
| 225100000X Physical Therapist (Licence: FL 41502) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2024-07-24 |