| NPI | 1700958923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 5068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17536) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-07-30 |