| NPI | 1447961776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL81055) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016380) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2025-04-30 |