| NPI | 1750414587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3059) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15462) |
| 225100000X Physical Therapist (Licence: ME PT2360) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |