| NPI | 1447582598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3698) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18636) |
| 225100000X Physical Therapist (Licence: ME 3281) | |
| 225100000X Physical Therapist (Licence: VT 040.0047667) | |
| Enumeration Date | 2010-01-31 |
| Last Update Date | 2010-01-31 |