| NPI | 1528247087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 10758) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 5592) |
| 174400000X Specialist (Licence: MA 10758) | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2025-07-03 |