| NPI | 1417672353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 238818) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: MA PTL26439) | |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2025-05-28 |