| NPI | 1952162075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1365154) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL27740) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2025-08-16 |