| NPI | 1811392913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 4003) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 3822) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |