| NPI | 1649597048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT1226) |
| Additional Taxonomies | 2251H1300X Physical Therapist, Human Factors |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |