| NPI | 1033749239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT884) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 9250) |
| 225100000X Physical Therapist (Licence: VA 2305209073) | |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |