| NPI | 1912394552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT3864) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0014393) |
| 225100000X Physical Therapist (Licence: CA 38675) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2019-07-08 |