NPI | 1386252823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5680) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 16670) |
225100000X Physical Therapist (Licence: NH 4651) | |
Enumeration Date | 2020-07-21 |
Last Update Date | 2024-06-18 |