| NPI | 1235022401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL81011) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |