| NPI | 1306984760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2464) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 13296) |
| 225100000X Physical Therapist (Licence: ME PT2348) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |