| NPI | 1629200373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 6644) |
| Additional Taxonomies | 2251E1300X Physical Therapist Electrophysiology, Clinical (Licence: MA 6644) |
| 2251G0304X Physical Therapist Geriatrics (Licence: MA 6644) | |
| 2251N0400X Physical Therapist Neurology (Licence: MA 6644) | |
| 2251S0007X Physical Therapist Sports (Licence: MA 6644) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: MA 6644) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |