| NPI | 1043519242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 18877) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NH 3520) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2015-09-29 |