| NPI | 1982717211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 10511MA) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MA PT10511) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2021-08-12 |