| NPI | 1841843588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL28091) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044384-1) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2025-10-16 |