| NPI | 1427389360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1477) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT163) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |