| NPI | 1881056752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MA 22182) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 22182) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-06-20 |