NPI | 1871808667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3851) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19195) |
225100000X Physical Therapist (Licence: ME PT4125) | |
Enumeration Date | 2010-08-17 |
Last Update Date | 2015-06-25 |