| NPI | 1124095419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT#618) |
| Additional Taxonomies | 2251E1200X Physical Therapist Ergonomics (Licence: ME PT#618) |
| 2251G0304X Physical Therapist Geriatrics (Licence: ME PT#618) | |
| 2251N0400X Physical Therapist Neurology (Licence: ME PT#618) | |
| 2251P0200X Physical Therapist Pediatrics (Licence: ME PT#618) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: ME PT#618) | |
| Enumeration Date | 2006-03-05 |
| Last Update Date | 2007-07-09 |