| NPI | 1386812865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3184) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT2116) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |