| NPI | 1942928551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 304402) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 03571) |
| 225100000X Physical Therapist (Licence: MA 26296) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2025-02-08 |