| NPI | 1568556389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT3259) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 3693) |
| 225100000X Physical Therapist (Licence: AZ 10792) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-09-08 |