| NPI | 1558870469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL26184) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: IL 70023359) | |
| 225100000X Physical Therapist (Licence: IN 05012683A) | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2025-10-15 |