| NPI | 1235807884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL88457) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT305934) |
| 225100000X Physical Therapist (Licence: WI 15584-24) | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-05-26 |