| NPI | 1497110647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031793) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2026-02-20 |