| NPI | 1386958502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0067009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 197524) |
| 225100000X Physical Therapist (Licence: SC 6189) | |
| 225100000X Physical Therapist (Licence: NC 7406) | |
| 225100000X Physical Therapist (Licence: ME PT3672) | |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |