| NPI | 1518246156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 1038) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 2405) |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2011-08-14 |