| NPI | 1215280508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 18874) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NH 3516) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |