| NPI | 1518206283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 19857) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 3614-024) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL 0005767) | |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2023-07-05 |