| NPI | 1346936598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 27457) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216138) |
| 225100000X Physical Therapist (Licence: NY 049723) | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-06-24 |