| NPI | 1841316999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT6664) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296089) |
| 225100000X Physical Therapist (Licence: MA 17314) | |
| 225100000X Physical Therapist (Licence: NY 44356) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-01-25 |