| NPI | 1336176296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP003611T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT3137) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2021-01-27 |