| NPI | 1952185530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 27148) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 034355) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2025-09-09 |