| NPI | 1497578736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26713) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64783) |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |