| NPI | 1447296942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT1615) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT5360) |
| 225100000X Physical Therapist (Licence: CO PTL.0002990) | |
| 225100000X Physical Therapist (Licence: CT 12521) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-12-10 |