| NPI | 1477525889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT3081) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17213) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-06-26 |