| NPI | 1871655324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2766) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15727) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2025-02-19 |