| NPI | 1053464388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: MA 16320) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 16320) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |