| NPI | 1285791285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MA 5408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 5408) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2025-09-11 |