| NPI | 1184102873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014236) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT5214) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2019-08-13 |