| NPI | 1710375936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MA 22900) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NY 038433) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2018-03-29 |