NPI | 1023133477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT2538) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15647) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2007-07-08 |