NPI | 1710260286 |
---|---|
Former Name | MEGHAN ELIZABETH MULHARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14804) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38200) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2020-07-14 |