| NPI | 1538760913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24991) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-33195) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2025-01-09 |