| NPI | 1306610910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12797) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL27261) |
| 225100000X Physical Therapist (Licence: NH 5618) | |
| 225100000X Physical Therapist (Licence: DE J1-0014913) | |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2025-10-21 |