| NPI | 1518273135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19213) |
| 225100000X Physical Therapist (Licence: DC PT871554) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MA 19213) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2016-08-16 |