| NPI | 1720962087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT7234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216306) |
| 225100000X Physical Therapist (Licence: MA PTL27177) | |
| 225100000X Physical Therapist (Licence: IL 070027615) | |
| 225100000X Physical Therapist (Licence: AK 225376) | |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-08-13 |