| NPI | 1740455419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL17217) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 264854) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2025-08-25 |