| NPI | 1679398440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24489) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL81027) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2026-05-11 |