| NPI | 1932443488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19976) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MA 19976) | |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2022-09-10 |