| NPI | 1891939930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT2256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 7132) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2019-06-11 |