| NPI | 1437585734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4760) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 5834) |
| 225100000X Physical Therapist (Licence: MD 24695) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2021-04-07 |