| NPI | 1801089271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT3300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2810) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-23 |