| NPI | 1841663853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5223) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT35389) |
| 225100000X Physical Therapist (Licence: CO PTL.0013246) | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2019-12-31 |