| NPI | 1265504609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 17488) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NH 3122) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-05-22 |