| NPI | 1588850200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 6103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PT18501) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2025-07-18 |