| NPI | 1982745717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL89029) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY o11822-1) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-12-11 |