| NPI | 1437948833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL28075) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: RI PT4109) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2026-06-03 |