| NPI | 1831086123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 5635) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 28281) |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |