| NPI | 1417272444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18813) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 18813) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2014-10-16 |