| NPI | 1174249494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL27681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02040400) |
| 225100000X Physical Therapist (Licence: CA 303348) | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-07-03 |