| NPI | 1164540688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT3062) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5048) |
| 225100000X Physical Therapist (Licence: MA 17058) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |