| NPI | 1326289919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18588) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: MA 22510000X) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2020-05-13 |