| NPI | 1508195264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT3519) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2373) |
| 225100000X Physical Therapist (Licence: MA 13038) | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |