| NPI | 1982342721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 26116) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL26116) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2026-06-05 |