| NPI | 1013544451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT6506) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 35613) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-05-18 |