| NPI | 1235568593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2013038073) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT4041) |
| 225100000X Physical Therapist (Licence: IL 070020362) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2018-07-27 |