| NPI | 1609916014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 8219) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MA 8219) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2025-09-11 |