| NPI | 1750508636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 2933) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 221188) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-02-26 |