| NPI | 1285883892 |
|---|---|
| Former Name | ELIZABETH AMY NOONAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004561) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9674) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2025-08-11 |