| NPI | 1023325412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15255) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT2189) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2014-10-17 |