| NPI | 1245543925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 8738) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3667) |
| 225100000X Physical Therapist (Licence: ME PT3878) | |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2016-10-24 |