| NPI | 1467884742 | 
|---|---|
| Former Name | MEAGHAN ELIZABETH NYMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2013041485) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 011158) | 
| Enumeration Date | 2013-08-08 | 
| Last Update Date | 2020-03-11 |