| NPI | 1831184571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 11421) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MA 11421) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2010-09-07 |