| NPI | 1609322858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 22351) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3919) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-09-20 |