| NPI | 1396636841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 6024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 26577) |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |