| NPI | 1659070423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 27234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1371767) |
| 225100000X Physical Therapist (Licence: ME PT6507) | |
| 225100000X Physical Therapist (Licence: CA 301659) | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-10-25 |