| NPI | 1316260334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4311) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18968) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2018-03-17 |