| NPI | 1225242902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 017842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00766200) |
| 225100000X Physical Therapist (Licence: MA PTL17950) | |
| 225100000X Physical Therapist (Licence: ME PT6773) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2025-07-17 |