| NPI | 1649752940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL88611) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ LPT-32603) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2025-10-14 |