| NPI | 1477395481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT7083) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL26288) |
| 225100000X Physical Therapist (Licence: NH 5299) | |
| 225100000X Physical Therapist (Licence: WA PT61574876) | |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-03-27 |