| NPI | 1932613106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 88458) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26761) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2025-09-09 |