NPI | 1174730212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 17543) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 8381) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-08 |