| 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 |