| NPI | 1356493290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 20517) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-08-08 |